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Individual

DR. MAHINE MAHAJERI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS, MS

Contact information

Practice address
6325 CHASE RD, SUITE #A, DEARBORN, MI 48126-4522
(313) 584-6530
Mailing address
6325 CHASE RD, SUITE #A, DEARBORN, MI 48126
(313) 584-6530

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14630
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2910005
MI
Enumeration date
12/02/2006
Last updated
07/09/2007
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